<div class="bjui-pageContent tableContent">
    <form action="__URL__/receive/navTabId/{:CONTROLLER_NAME}" class="pageForm" data-toggle="validate">
        <div class="pageFormContent" data-layout-h="0">
           <table class="table table-condensed table-hover" width="100%">
           <tbody>
		   <tr><td><label for='ktime_input' class='control-label x85'>逾期时间:</label><select name="overdue"><option value="0">0</option><option value="1">1-5</option><option value="2">5-10</option><option value="3">大于10</option></select></td></tr>
           </tbody>
          </table>
        </div>
    </form>
</div>
<div class="bjui-pageFooter">
<p>当前正在处理:<span style="color: red">{$count|default=0}</span>条 <span style="color:#D0D0D0;font-size: 10px;">不选择时间则默认分配！</span></p>
    <ul>
       <li><button type="button" class="btn-close" data-icon="close">取消</button></li>
       <li><button type="submit" class="btn-default" data-icon="save">确认领取</button></li>
    </ul>
</div>